Large middle cerebral artery infarction.

Abstract

To the Editor: We read with interest Heinsius et al.'s report on large infarcts in the middle cerebral artery (MCA) territory.1 The focus of their article using the Lausanne Stroke Registry was a comparison of large infarcts with limited infarcts of the MCA territory. This publication identified internal carotid artery occlusion, internal carotid artery dissection, atrial fibrillation, cardiogenic embolism, and severe neurologic deficit as factors more commonly associated with large MCA infarcts than limited MCA infarcts. This study identified younger age, coma on day of admission, and carotid dissection as early clinical predictors of herniation applicable to …